Aksenov, Igor Viktorovich
Aksenov, Igor Viktorovich is an individual health care provider with primary practice located at 4700 Waters Ave Ste 507 , Savannah GA 31404-6220. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Aksenov, Igor Viktorovich can be contacted via phone (912) 350-4750.Contact Information
Primary practice address
4700 Waters Ave Ste 507
Savannah GA 31404-6220
Phone: (912) 350-4750
Fax: (912) 350-4751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME94813 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 062644 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 062644 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 062644 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME94813 | Florida |
Profile Details
| NPI number | 1699854224 |
|---|---|
| LBN Legal business name | Aksenov, Igor Viktorovich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jan 25th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699854224 | NPPES |
| Other | 01286490 | AMERIGROUP | |
| Other | 518768 | AMERIGROUP | |
| MEDICAID | 321479371B | AMERIGROUP | |
| MEDICAID | 321479371A | AMERIGROUP | |
| Other | P00733491 | AMERIGROUP | |
| MEDICAID | G62644 | AMERIGROUP |
Popular Providers
-
Porter, Mary J
340 Hodgson Ct Suite #2, Savannah GA 31406-1520 -
Moody, Ryan Brett
11700 Mercy Blvd Bldg. #5, Savannah GA 31419-1753 -
Ramage, James E.
4700 Waters Ave Suite 507, Savannah GA 31404-6220 -
Mullins, Michael D
225 Candler Dr Ste 301 , Savannah GA 31405-6091 -
Hanzel, Douglas Alan
1326 Eisenhower Dr Bldg. 2, Savannah GA 31406-3928 -
Ortiz-Cantillo, Kathia A.
4700 Waters Ave Ste 507 , Savannah GA 31404-6220 -
Costanzo, Patricia Ann
4 Sea Oats Ln , Savannah GA 31411-3102 -
Ahmed, Masood
5356 Reynolds Street Suite 303, Savannah GA 31405-6016